What is true regarding bacterial pharyngitis that is untrue for viral pharyngitis?

Has no serious complications

Presents a negative culture

Has an abrupt onset

Presents a normal complete blood count (CBC)

Answer and Explanation

The Correct Answer is C

a) Has no serious complications: Bacterial pharyngitis, especially streptococcal pharyngitis, can have serious complications, such as rheumatic fever or glomerulonephritis, which are not seen with viral pharyngitis.
b) Presents a negative culture: Bacterial pharyngitis typically presents with a positive throat culture for bacteria, while viral pharyngitis typically shows a negative culture.
c) Has an abrupt onset: Bacterial pharyngitis often has a sudden and severe onset of symptoms, while viral pharyngitis tends to have a more gradual onset.
d) Presents a normal complete blood count (CBC): In bacterial pharyngitis, the CBC may show an elevated white blood cell count, while in viral pharyngitis, the CBC may remain normal or slightly elevated.

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Correct Answer is D

Explanation

a) Encourage increased fluid intake: In acute glomerulonephritis, fluid retention is common due to kidney dysfunction, so increasing fluid intake can exacerbate symptoms like edema and hypertension.
b) Encourage frequent ambulation: While ambulation is important for overall health, excessive activity may worsen symptoms such as fatigue or edema in clients with acute glomerulonephritis. Rest and limited activity are often recommended initially.
c) Obtain weekly weight: For a client with acute glomerulonephritis, weight monitoring should ideally be done daily. This allows for more precise tracking of fluid balance and early detection of fluid retention or weight gain, which could indicate worsening of the condition.
d) Place the client on a low-sodium diet: A low-sodium diet helps reduce fluid retention and lower blood pressure, which are important in managing acute glomerulonephritis and preventing complications such as edema or hypertension.

A. Urinary retention B. Hypertension C. Diarrhea D. Decreased salivation

Correct Answer is C

Explanation

a) Urinary retention: Pilocarpine, a cholinergic agent, promotes bladder contraction rather than causing retention.
b) Hypertension: Pilocarpine is more likely to cause hypotension.
c) Diarrhea: A parasympathetic effect of pilocarpine is increased gastrointestinal motility, leading to diarrhea.
d) Decreased salivation: Pilocarpine increases salivation.

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What is true regarding bacterial pharyngitis that is untrue for viral pharyngitis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting in the planning of care for a client who has acute glomerulonephritis. Which of the following interventions should the nurse recommend including in the plan of care?

Correct Answer is D

Explanation

A nurse is collecting data from a client who self-administers pilocarpine ophthalmic drops. Which of the following findings by the nurse indicates a systemic adverse effect of this medication?

Correct Answer is C

Explanation

A nurse is preparing to administer amoxicillin 300 mg PO. The amount available is amoxicillin oral solution 250 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest tenth/whole number. Use a leading zero if it applies. Do not use a trailing zero.)

A patient who has had surgery this morning for cataracts is now going home. What should the nurse include when providing discharge instructions? (Select all that apply.)

A 60-year-old patient who has had an enucleation asks when he can get his prosthesis fitted. In approximately how many weeks should this patient expect to be fitted?

A patient complains that his hearing aid is not working. What actions should a nurse implement to assess the device? (Select all that apply.)

The nurse is developing a teaching plan for a client with glaucoma. Which instruction should the nurse include in the plan of care?

Which type of medication would be used to dilate the pupils before an eye examination?

A nurse is reinforcing teaching about a tonometry examination with a client who has manifestations of glaucoma. Which of the following statements should the nurse include in the teaching?

What is true regarding bacterial pharyngitis that is untrue for viral pharyngitis?